Barrieren und Ressourcen für personenbezogene Arbeitsschutzmaßnahmen
摘要
Personal occupational safety measures, e.g. the use of personal protective equipment (PPE), are required in many professions. These include skin protection measures (e.g., wearing suitable protective gloves) as an important component in the prevention of occupational hand eczema. Despite the importance of these measures, they are not always appropriately implemented. This study analyses barriers and resources for the implementation of skin protection measures from a subject-oriented perspective among those affected by occupational skin diseases.
MethodsQualitative interviews were conducted with 29 patients who were taking part in an inpatient rehabilitation program (tertiary individual prevention program) at the time of the survey. A semi-structured interview guide was used to record perceived barriers and resources as well as subjective work-related health perceptions. The evaluation was carried out using qualitative content analysis.
ResultsWithin the three main categories 1) work-related health perceptions, 2) barriers to implementation, and 3) resources for implementation, different dimensions emerged and were divided into respective subcategories and sub-subcategories. Influences of work on health were perceived in particular in the form of risks. Barriers to the implementation of skin protection measures included time pressure, lack of information, and insufficient support from employers. Respondents perceived that being free to act, good availability, and knowledge as resources for implementation.
ConclusionsThe identified barriers and resources are in part consistent with previous findings from other studies, but indicate a complex interplay, partly due to the heterogeneous group. For example, the occupational sectors and the size of the company appear to be influencing factors. As part of the prevention of occupational skin diseases, possible individual influencing factors on the implementation of skin protection measures should be identified from a subject-oriented perspective together with those affected and considered in the provision of care. This can contribute to more effective use and greater acceptance and thus to (skin) health.